Health & Medical Billing System (RSystems)

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Philippa Copeland
3 years ago
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1 Healthcare IT R Systems Expertise

2 Overview- Healthcare IT Solutions & Services R Systems helps healthcare service providers deliver effective and timely care and comply with security compliances through best technology intervention and practices. Our healthcare IT solutions and services are supported by 360 degree BPO services. R Systems healthcare IT expertise encompasses integrated Practice Management Systems, Electronic Health Records, and Revenue Cycle Management Services We have been helping US federal government in their endeavor to establish a secure and scalable Nationwide Health Information Network (NHIN) and healthcare industry players ensure compliance with security regulations and standards, such as HIPAA. Our cutting-edge IT solutions and services are helping ISVs, like PM/EHR/PACS/DME, Hospital- based Specialty Groups, Community Health Centers (FQHC), and fortune firms, reduce time-to-market, achieve competitive advantage, and realize enhanced ROI. We offer a wide variety of IT solutions to different players in the healthcare industry, including: Companies that develop, manufacture and market health-related products Healthcare service providers, such as hospitals Midsized provider organizations Health Maintenance Organizations (HMOs) Plan providers and payors Medical billing companies, medical equipment/device manufacturers

Our Strengths Health Information Exchange (HIE) connectivity for Health Information Systems (HIS) Practice Management(PM) interfaces with Lab and Benefit Administration HIPAA, HL7 and DICOM

3 Our Strengths Health Information Exchange (HIE) connectivity for Health Information Systems (HIS) Practice Management(PM) interfaces with Lab and Benefit Administration HIPAA, HL7 and DICOM Compliance Electronic Exchange, Integration, and Interface Engines Practice Management Systems Revenue Cycle Management Electronic Claims (Third-Party Clearing House) Working with ISVs (integrating EHR and PACS Solutions) Medical Support Application Informatics

4 Technology Expertise Graphical User Interface: JSP, XML/XSLT Programming Language: JDK 1.6 Database Storage: MYSQL (5.0) Database connection: Hibernate 3 Framework: Struts Framework Deployment Environment: Linux Ubuntu 8.04 Application server: Glass Fish Domain Expertise 19 years, global technology teams Scalable Global Delivery Platform Best of resources including experienced healthcare domain experts, business analysts, and IT service staffs 6-Sigma, SEI CMMi Level-5 Certification ISO in Security, HIPPA Healthcare Focus + Global Expert Center

Practice Management (PM) and Electronic Health Records (EHR) R Systems works with Healthcare Product companies building and integrating disparate systems R Systems offers IT services in the area of

We have extensive knowledge of design, development and maintenance of Practice Management Systems, especially centric to Community Health Centers.

5 Practice Management (PM) and Electronic Health Records (EHR) R Systems works with Healthcare Product companies building and integrating disparate systems R Systems offers IT services in the area of informatics including database administration, conversion, integration services, and reporting. We have extensive knowledge of design, development and maintenance of Practice Management Systems, especially centric to Community Health Centers. Our PM services are focused to help medical practitioners, including specialty practices, multi-specialty groups and Community Health Centers who face specific management, billing and UDS reporting challenges. Our architecture allows easy interface with a wide range of third party services such as clearing houses, laboratories, data management, hospital systems and any other EHR or EMR product. We have expertise in providing data conversion services to migrate practices from old legacy systems to new practice management system. R Systems has healthcare domain experts with extensive experience, team of business analysts, IT Service staff having healthcare solutions working experience, team of DBAs for data conversion and 24 X 7 production support.

6 R Systems PM and EHR Product Suite Includes: Product Development: Complete build, release and support of Integrated PM and EHR product suite compliant with HIPAA interface, Doctors education portal, Issue tracking, UDS reporting, Scheduling, Patient Accounting, and enabling Meaningful Use. Maintenance of different releases of the products, with trouble-ticket resolution Data Conversion (From legacy system / from lower to higher versions of Practice Management) Cognos Reporting (integrated model of PM and EHR on star schema, collaborative reports etc.) Integration services (with third party EHR products) Database Administration (Production support, new release upgrades, Data conversions, Data center support etc.)

Revenue Cycle Management (RCM) Services R Systems provides RCM services to physician groups and hospitals by acting as their back-end processing unit interfacing with patients and insurance carriers

7 Revenue Cycle Management (RCM) Services R Systems provides RCM services to physician groups and hospitals by acting as their back-end processing unit interfacing with patients and insurance carriers to ensure high collections and consistent cash flows. The RCM services provided by R Systems comprises scheduling, demographics entry, charge capture, ICD & CPT coding, claims creation & submission, denials management, payment processing, AR follow ups, patients collections, and reporting. R Systems has teams of science graduates and graduates in alternate medicine with US healthcare industry experience, including AAPC certified professional coders, graduate/post graduate billers, and accent neutralized AR follow-up specialists Our information security framework enables it to adhere to all HIPAA related requirements around data security and patient health information. The team of experienced auditors monitors and ensures adherence to all compliance parameters, regulatory as well as business specific. R Systems dedicated team model ensures specialty specific deployment for each client engagement, thereby ensuring that all clients benefit from our operational efficiencies.

8 Benefits of Our RCM Services : Higher collections post adjustment Significant reduction of administrative cost Complete adherence to all compliance requirements Reduction in claim submission Turn Around Time (TAT) Healthcare IT and RCM Service Offerings involve: Building HIE Connectivity, for meaningful use Interfacing third party Ambulatory systems with Pharmacy and Lab Working with ISVs, integrating EHR and PACS Solutions Improving Reimbursement and 30% Lower Cost CHARGE CAPTURE ICD & CPT CODING DEMOGRAPH ICS ENTRY CLAIMS CREATION & SUBMISSION SCHEDULING R SYSTEMS RCM SERVICE PORTFOLIO DENIALS MANAGEME NT REPORTING PAYMENT PROCESSING PATIENTS COLLECTIONS AR FOLLOW UPS

R Systems Global Operations 3 rd Party NHIN 3 rd Party NHIN Nationwide Health

9 HIE Connectivity Construction R Systems builds Health Information Exchange (HIE) Connectivity for exchanging Demographic and Clinical Information across NHIN backbone. R Systems Global Operations 3 rd Party NHIN 3 rd Party NHIN Nationwide Health Information Network Backbone NHIN 3 rd Party FederalGa teway NHIN 3 rd Party NHIN NHIN FederalGa teway

10 Other than Demographic and Clinical information, it also captures event specific information, and community information, making it available in the NHIN backbone.

11 Compliance [HIPAA, ISO 27001] Transaction and Code Set Compliance Compliance with CPT-4 and ICD-9CM Geared Up for ICD 10 transition Standard Electronic Transaction with payers [837, 835, 274/275, 271/272] Privacy Compliance Audit Trail for all information access NDA with employees working on PHI Employee Training Comprehensive General Liability coverage HIPAA Security Compliance Documented and implemented security policy Layered Physical and Network Security, with encryption [VPN] Independent Audit by clients Business Associate Agreement with Covered Entity Security and privacy practice and documentation is a super-set of HIPAA Business Associate Agreement

12 For specific queries and to learn more about our services, write to:

Pro. Adding value to Customers Businesses. TECHNOLOGIES D elivering Savings and Growth

Pro. Adding value to Customers Businesses. TECHNOLOGIES D elivering Savings and Growth Adding value to Customers Businesses As one of the leading healthcare outsourcing Service Company, Dpro offers a full suite of solutions that are designed to improve operational efficiencies & customer